I saw the title of this article this morning in the Toronto Star, and since I am a cancer survivor, thought that I'd read it and try to lower my risk.  It was disappointing to me that the "little pill" is aspirin, and as an RnY recipient, I can't take it.
So, I started thinking (hallelujah!) and wondering if any of you take aspirins.  Would you take aspirin if you believed that it would lower your cancer-risk? 
I've posted the article below, which was written by Dr. Oz and a colleague.
Margaret

YouDocs: The little pill that battles cancer, and could win

January 10, 2011 You Docs
 

 

 

It was the David-versus-Goliath smackdown of 2010: In a pair of headline-grabbing studies, ordinary low-dose aspirin slashed the risk of dying from nine scary cancers by an average of 30 per cent. The humble headache tablet took down cancers of the colon, prostate, brain, lungs, pancreas, esophagus and more.

Wow. The news made us smile as we swallowed our daily aspirin, washed down with warm water (we’ll tell you why in a minute). Should you be doing the same? We’re betting plenty of people who ought to be taking aspirin aren’t — and that some people who’d be better off not taking it are, despite the risks.

Risks? Yep. Weighing the ins and outs of aspirin therapy is a lot like trying to solve your first Rubik’s cube. It’s already proven to reduce risk for heart attacks and strokes, which is why aspirin’s recommended for most men over 45 and women over 55. But regular use can trigger major, even fatal, stomach and intestinal bleeding. So deciding about aspirin requires sorting out your personal risks and benefits. Does adding “cancer protection" tip the balance for you? Here’s what you need to know:

1. Aspirin can prevent cancer. While there have long been indications of this, the sturdy new data analyzed cancer deaths among 25,570 people who had been in a string of aspirin studies. Over 20 years, aspirin cut the risk of dying from esophageal cancer by 60 per cent, colorectal cancer by 40 per cent, lung cancer by 30 per cent, and prostate cancer by 10 per cent. The studies didn’t distinguish between developing cancer and dying from it, but other research shows that regular aspirin use protects against getting breast, colon, esophageal, prostate and ovarian cancer in the first place.

2. If you develop cancer, aspirin could keep it from killing you. A fistful of studies has found that: Women with breast cancer *****gularly take aspirin are 64 per cent less likely to die. Among men with prostate cancer, regular aspirin use cuts death risk by 50 per cent. And people with non-small-cell lung cancer who take aspirin live longer after surgery.

How aspirin beats cancer

Basically, it throws the kitchen sink at the disease. First, aspirin blocks COX-2 enzymes, which help many cancers grow (COX-2 levels are high in colon, prostate, breast, pancreas, bladder, uterus and some lung cancers). Aspirin also shrinks estrogen production, starving breast cancers that feed on this hormone. In lab studies, aspirin flips a biochemical switch that tells cancer cells to die. And it also seems to clean up genetic mutations before they turn cancerous.

So is aspirin right for you? The short answer is yes if you’re a man over 45 (for heart attack prevention) or a woman over age 55 (for stroke prevention; it may also protect against heart attacks in women over 65). Consider starting aspirin earlier if you’re at high risk for heart disease or stroke, or have a family history of cancer. We think it’s also a great idea if you have diabetes or you’re a woman taking hormone therapy. Both raise your risk for heart attacks and strokes; HT can also make you vulnerable to some cancers that aspirin fights.

The answer is no if you’ve already had a scare with gastrointestinal bleeding from taking aspirin, ibuprofen, or any other non-steroidal anti-inflammatory. It’s also no if you take steroids or regularly take an NSAID for, say, arthritis. It might be no if you’re at super-low risk for a heart attack or stroke.

GOTCHA THINKING? TAKE THESE 3 STEPS

1. Get a second opinion. Talk with your doctor about aspirin. Take the RealAge Test beforehand ( www.realage.com). It weighs your personal health risks and benefits, and will help you discuss it.

2. Take aspirin the right way. We recommend 162 mg daily (but consult your doctor first). That’s two low-dose tablets, one in the morning, one at night, or half a regular tablet. The cost? About a penny—talk about bargains! Drink half a glass of warm water beforehand, the rest afterward. Warm water dissolves the tablet faster, which makes it less likely to trigger serious bleeding. (Enteric-coated or buffered aspirin may keep your tummy comfy but neither protects against bleeding.)

3. Start now. Cancer protection doesn’t kick in immediately. It takes a while. How long isn’t clear. Some data say five years, but in two randomized colon cancer studies, aspirin-takers had significantly fewer cancers in 90 days. We don’t let a day go by without our aspirin dose. Time to find out if it belongs on your daily list, too.

Mehmet Oz and Mike Roizen are authors of YOU: On a Diet. For more, visit www.RealAge

My cardiologist was willing to take me off the atrial fibrulation medication I was on, including Cumadin. The catch was that he saw some plaque buildup and wanted me on Lipitor and one low-dose aspirin daily.  I discussed it with my bariatric surgeon and he approved it as long as I take my daily Prevacid, (which is actually a generic). 

This deal was brokered four years after surgery, long enough to see that I am compliant and that I haven't had any complications.   I don't think Dr. Zeni would suggest that this is OK for all his patients, but I'm happy that he approved it for me.